1 College of Medicine, The Ohio State University, Columbus, Ohio
The article by Green and Segar1 which proposes a new design for patient care suggests some sweeping changes in our traditional methods of providing pediatric education and medical services. It should be evaluated as a serious proposal designed to bring simultaneous improvement to both fields.
While the commentary by McKay makes some pertinent recommendations regarding the improvement of inpatient medical care (in the Children's Hospital of Columbus the monthly statistics for 1961 show that the average length of stay varied from 6 days to 7.3 days), his suggestion that Green's proposal "circumvents rather than meets the problem" suggests to me that he has missed its main purpose.